HomeMy WebLinkAboutAG 20-300 - Ivy's Hair SalonRETURN TO: TIM JOHNSON EXT: 2412
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
.
ORIGINATING DEPT,/DIV. ECQNOMIC DEVELOEMENT__,____
. ORIGINATING STAFF PERSON: TIM JOHNSON EXT: 2412 3. DATE REQ. BY.—, ASAP___....1
TYPE OF DOCUMENT (CHECK ONE):
El CONTRACTOR SELECTION DOCUMENT (E.G., RTB, RFP, RFQ)
El PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT
11 PROFESSIONAL SERVICE AGREEMENT o MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT El HUMAN SERVICES/ CDBG
El REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE Ei RESOLUTION
* CONTRACTA NT (AG#):_ Ei INTERLOCAL
* OTHERnvy CARES ACT FUNDS BUSINESS SUPPORT GRANT AGREEMENT
PROJECT NAME: CARES ACT GRANT — ROUND I
NAME OF CONTRACTOR: IVY'S HAIR SALON
ADDRESS: 33612 21 STAVE SW, FEDERAL WAY, WA, 98023 TELEPHONE: (253) 380-8396
E-MAIL: KM4MILLS —561@HOTMAIL.COM
SIGNATURE NAME: MILLS MILLS TITLE: SEE ACHED
EXHIBITS AND ATTACHMENTS: El SCOPE, WORK OR SERVICES El COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL
OTHER REFERENCED EXHIBITS 11 PROOF OF AUTHORITY TO SIGN 11 REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS
COMMENCEMENT DATE: SEE ATTACHED AGREEMENT 'COMPLETION DATEI
TOTAL COMPENSATION$ (INCLUDE EXPENSES AND SALES TAX, IF ANY) ONE THOUSAND AND NO1100 ($ 1,000�00)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: 1:1 YES X NO IF YES, MAXIMUM DOLLAR AMOUNT:
IS SALES TAX OWED El YES X NO IF YES, $_ PAID BY: El CONTRACTOR 11 CITY
RETAINAGE: RETAINAGEAmoUNT: El RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAfNAGE BOND PROVIDE
ED PURCHASING: PLEASE CHARGE TO: 001-1800-990-518-10-490 Project Code #267662-25060
0. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL1 DATE APPROVED
El PROJECT MANAGER
aB41'RECTOR
El RISKMANAGEMENT (IF APPLICABLE)
El LAW
1. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC`D:
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
El CREATE ELECTRONIC REMI NDER/NCTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL / DATE SIGNED
El LAW DEPARTMENT SIGNED By LAW 07-28-20
0 SIGNATORY (MAYOR OR DIRECTOR)
1:1 CITY CLERK
— a
wf _0
0 ASSIGNED AG# AG# 2 - M
1/2020
This Grant Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("Cityand Ivy's Hair Salon, a sole proprietor ("Grantee"). The City and Grantee (together
"Parties") are located and do business at the below addresses which shall be valid for any notice required under
this Agreement:
Kim Mills
33612 21" Ave SW, Federal Way, WA 98023
Mailing address:
3508 42 d Ave NE, Tacoma, WA 98422
1 '11141 m I I &-mbin IL%pd I [ij I I I ra I
1,
DO V ILT&O a of 0113 31 14AR
Ade Ariwoola
33325 8th
Federal Way, WA 98003-6325
(253) 835-2520 (telephone)
(253) 835-2509 (facsimile)
1. TERM. This agreement contemplates a one-time grant of funds to the Grantee under the conditions
described herein.
2. CONDITIONS OF GRANT
2.1 Warranties. The Grantee warrants the following, which are pre -requisites for grant eligibility:
a) Grantee operates a business physically located within the political boundaries of the City
of Federal Way;
b) Grantee maintains a current City of Federal Way business license
c) Grantee has paid all taxes and government fees due up to the date of execution of this
grant agreement
d) Grantee is not the recipient of other state or federal funding made available as a response
to the COVID- 19 pandernic
e) Grantee's business employees no more than the equivalent of ten (10) full-time
employees (20,800 man-hours total for all employees per year).
f) Grantee's net revenues do not exceed more than $1.5 million per year
g) Grantee does not operate as a tax-exempt business as defined by the Internal Revenue
Service
h) Due to COVID-19, Grantee business (check all that apply):
Was required by state or local order to close
ffWas forced to lay off employees due to reduced patronage
Incurred over $1,000 in COVID-19 related expenses
Experienced 10-50% lost revenue
Experienced over 50% lost revenue
CITY OF CITY HALL
33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
www otvoffederalway corn
a) Mortgage or Rent
b) Personal Protection Equipment
c) Insurance
d) Utilities
e) Marketing
F) Payroll
Grantee agrees to retain receipts documenting use of grant funds and will provide them to the City or its
designee upon request.
3. TERMINATION. Should any of the conditions described in section 2.1, above, not be met, the City
may recover all disbursed grant funds and terminate this agreement.
4.1 Amount. In order to promote healthy economic activity in the City and in response to the losses
L*
Grantee ha�l illm
not to exceed One Thousand and NO/I 00 Dollars ($ 1,000.00).
4.2 Non-Appro riation of Funds. If sufficient fands are not appropriated or allocated for paymen)
under this Agreement for any fiscal period, the City will not be obligated to make payments under this
agreement.
5.1 Grantee Indemnification. The Grantee agrees to release indemnify, defend, and hold the City, its
elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from
I ny and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments,
Xwards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or
litigation expenses to or by any and all persons or entities, including, without limitation, their respective agents,
licensees, or representatives, arising from, resulting from, or in connection with this Agreement or the
performance of this Agreement, except for that portion of the claims caused by the City's sole negligence.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the
event of liability for damages arising out of bodily injury to persons or damages to property caused by or
resulting from the concurrent negligence of the Grantee and the City, the Grantee's liability hereunder shall be
only to the extent of the Grantee's negligence. Grantee shall ensure that each sub -Grantee shall agree to defend
and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and
volunteers to the extent and on the same terms and conditions as the Grantee pursuant to this paragraph. The
City's inspection or acceptance of any of Grantee's work when completed shall not be grounds to avoid any of
these covenants of indemnification.
5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Grantee
waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 51
RCW solell[ for the yur -?,oses of this indemnification. Grantee's indemnification shall not be limited in any-wou?,
by any limitation on the amount of damages, compensation or benefits payable to or by any third party under
workers' compensation acts, disability benefit acts or any other benefits acts or programs. The Parties further
acknowledge that they have mutually negotiated this waiver.
3� �_,, r_ �1_ �11 - .11 �2,1 �16
CVfY OF
176dera I V
«..ay
CITY HALL
33325 Sth Avenue South
Federal Way.. WA 98003-6325
(253) 835-7000
www cilyoffederalway corn
5.3 'Cify . The City agrees to release, indemnify, defend and hold the Grantee, its
officers, directors, shareholders, partners, employees, agents, representatives, and sub- contractors harmless
from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings,
judgments, awards, injuries, damages, liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs,
and/or litigation expenses to or by any and all persons or entities, including without limitation, their respective
agents, licensees, or representatives, arising from, resulting from or connected with this Agreement to the extent
solely caused by the negligent acts, errors, or omissions of the City.
5.4 Survival. The provisions of this Section shall survive the expiration or termination of this
A It.,1 11, MY M LIN
6.1 hl���aftd Modification. This Agreement contains all of the agreements of the Parties
with respect to any matter covered or mentioned in this Agreement and no prior statements or agreements,
whether oral or written, shall be effective for any purpose. Any provision of this Agreement that is declared
invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and
such other provisions shall remain in full force and effect. No provision of this Agreement, including this
provision, may be amended, waived, or modified except by written agreement signed by duly authorized
6.3 Execution. Each individual executing this Agreement on behalf of the City and Grantee
represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This
Fbderal V"y
CITY HALL
33325 Sth Avenue South
Federal Way, WA 98003-6325
(253)83 -7000
vvyw otyoffederalway cora
togetherAgreement may be executed in any number of counterparts, each of which shall be deemed an original and with
the same effect as if all Parties hereto had signed the same document. All such counterparts shall be construed
and shall constitute• _ instrument,but . r proof . _• only be necessary to produce
one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled
together to form a single instrument comprised of all pages of this Agreement and a complete set of all
signature and acknowledgment pages. The date upon which the last of all of the Parties have executed a
counterpart of . be the "dateof . execution" .'`•;..
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
ATE:
IVY'S HAIR SIAOLON:
s� „r
By: ,r .
Printed Name: l L 011 of
Title:
ATE: " '
CITY OF
P6dera I My
Centered on Opportunity
I
MAYOR'S OFFICE
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-2400
www cityoffederalway.cora
Jim Ferrell, Mayor
Congratulations! Your application for the City of Federal Way's Small Business Assistance Grant (2-V/19)
has been approved for $1000.00.
Enclosed is a grant contract for your review and signature. Upon signature please place in enclosed
addressed envelope and return with postage to the City for processing. Upon receipt, the City will
process a check to your business.
Should you have any questions, contact the City of Federal Way's Small Business Assistance Granj
hotline at 253-835-2414.
'ITe are committed to helping businesses like yours! Should you have any questions on business issues
or on the economy, please contact our Director of Economic Development, Tim Johnson at 253-835-
2412.
Best Wishes!
ZI Aim Ferrell
Mayor
7/25/2020
eServices
New search Back to results
Status Expiration date First issuance
Active Dec -31-2024 Feb -24-2006
ILLS, KIM KHANH NGOC
Registered Trade Names
Registered trade names Status First issued
IVY'S HAIR SALON Active Apr -20-2013
View Additional Locations
The Business Lookup information is updated nightly. Search date and time: 7/25/2020 1:44:53 PM
https://secure.dor.wa.gov/gteunauth/-,/#311 1/1
License Information:
Entity name:
MILLS, KIM KHANH NGOC
Business name:
IVY'S HAIR SALON
Entity e:
Sole Proprietor
I :
602-567-536
Business ID:
001
Location ID:
0002
Location:
Active
Location address:
33612 21 ST AVE SW
FEDERAL WAY WA 98023-7761
Mailing dress:
3508 42ND AVE NE
TACOMA WA 98422-4713
Excise tax and reseller permitstatus: Click here
Endorsements
Endorsements held at this location License # Count Details
Federal Way General Business 06 -100242 -00 -BL
Governing People mayinclude governing people not registered With secretary orstate
Governing people
Title
New search Back to results
Status Expiration date First issuance
Active Dec -31-2024 Feb -24-2006
ILLS, KIM KHANH NGOC
Registered Trade Names
Registered trade names Status First issued
IVY'S HAIR SALON Active Apr -20-2013
View Additional Locations
The Business Lookup information is updated nightly. Search date and time: 7/25/2020 1:44:53 PM
https://secure.dor.wa.gov/gteunauth/-,/#311 1/1